Home / New Hampshire / Manchester
Maple Leaf Health Care Center
198 Pearl Street, Manchester, NH 03104 · Hillsborough County · (603) 669-1660
114 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1975
CMS Care Compare ratings, data as of September 1, 2026 · CCN 305030 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 4, 2026, inspectors cited 2 health deficiencies (the New Hampshire average is 4, the national average 9.2).
None of its 7 health citations since January 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.91 hours per resident per day, against 3.90 across New Hampshire and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
40.4% of nursing staff left within the year CMS measured (New Hampshire average 44.1%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
March 4, 2026Standard inspection · 2 citations
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to ensure that expired medications were removed from use for 1 of 4 medication carts observed. (Resident identifier is #38).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, the facility failed to correctly code Minimum Data Set (MDS) assessments for 3 of 22 residents reviewed for MDS assessments in a final sample of 22 residents (Resident Identifiers #5, #44 and #64).
January 24, 2025Standard inspection · 4 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation and interview, it was determined that the facility failed to ensure that residents who were unable to carry out activities of daily living (ADL) received the necessary services to maintain good personal hygiene for 2 of 2 residents reviewed for ADL in a final sample of 22 residents (Resident Identifiers are #54 and #73).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview and record review, it was determined that the facility failed to ensure that medications and biologicals were stored in locked compartments in 1 of 2 medication rooms observed. (Second Floor Medication Room.)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to implement infection control policies and procedures for 1 of 3 residents reviewed for Transmission Based Precautions (TBP) (Resident identifier #63) and for 1 of 2 residents observed for wound care (Resident identifier #10) in a final sample of 22 residents.
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected the residents' status for 2 of 2 residents in a final sample of 22 residents (Resident Identifiers are #38 and #107).
January 25, 2024Standard inspection · 1 citation
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, and record review, it was determined that the facility failed to properly labeled medications in 1 of 4 carts observed (Third Floor Medication Cart #5).
Fire safety inspections
4 fire safety citations on file: 2 on January 24, 2025, 2 on January 25, 2024.
Every fire safety citation4 citations
- C Have approved installation, maintenance and testing program for fire alarm systems.
- C Have generator or other power source capable of supplying service within 10 seconds.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Establish emergency prep training and testing.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | New Hampshire | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.91 | 3.90 | 3.86 |
| Registered nurses | 0.60 | 0.78 | 0.69 |
| All nursing staff on weekends | 2.67 | 3.47 | 3.42 |
| Nurse aides | 1.74 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 40.4% | 44.1% | 45.8% |
| Registered nurse turnover | 35.7% | 40.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.98 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.01 on weekdays and 2.67 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 2.91 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.91 | 0.60 | 3.01 | 2.67 | 0.0% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.21 | 0.53 | 3.38 | 2.78 | 0.1% | 0 of 92 | 107 |
| Jul to Sep 2025 | 3.22 | 0.51 | 3.40 | 2.76 | 0.0% | 0 of 92 | 108 |
| Apr to Jun 2025 | 3.28 | 0.56 | 3.49 | 2.77 | 0.0% | 0 of 91 | 107 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| New Hampshire, Jan to Mar 2026 | 3.85 | 0.74 | 4.01 | 3.45 | 13.1% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | New Hampshire | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 3.8 | 22.7 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.4 | 1.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.1 | 2.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 4.4 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 1.3 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.8 | 17.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.3 | 17.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 24.7 | 22.3 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.3 | 13.4 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.9 | 1.8 |
Owners and operators
Legal business name: BH MAPLE LEAF LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nh3 Opco Holdco LLC | 5% or greater direct ownership interest | Organization | 09/01/2022 | |
| Pepper, Yehuda | 5% or greater direct ownership interest | Individual | 09/01/2022 | |
| Schwarcz, Eli | 5% or greater direct ownership interest | Individual | 09/01/2022 | |
| Esnh LLC | 5% or greater indirect ownership interest | Organization | 50% | 09/01/2022 |
| Jpnh LLC | 5% or greater indirect ownership interest | Organization | 50% | 09/01/2022 |
| Dwight Mortgage Trust LLC | 5% or greater security interest | Organization | 09/01/2022 | |
| Matera Health LLC | Operational/managerial control | Organization | 09/01/2022 | |
| Pepper, Yehuda | Operational/managerial control | Individual | 03/17/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on March 4, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on March 4, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 24, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on January 24, 2025: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.67 hours per resident per day, below the New Hampshire average of 3.47.
Other nursing homes nearby
- Mount Carmel Rehabilitation and Nursing Center Manchester, 0.2 mi · 3 of 5 stars · 11 citations
- Saint Teresa Rehabilitation & Nursing Center Manchester, 0.9 mi · 2 of 5 stars · 15 citations
- Courville at Manchester Manchester, 0.9 mi · 2 of 5 stars · 20 citations
- Hanover Hill Health Care Center Manchester, 1.1 mi · 4 of 5 stars · 7 citations
- St. Joseph Residence Manchester, 1.2 mi · 4 of 5 stars · 11 citations
- Villa Crest Nursing and Retirement Center Manchester, 2.4 mi · 4 of 5 stars · 9 citations
- Holy Cross Health Center Manchester, 2.6 mi · 5 of 5 stars · 2 citations
- Bedford Hills Center Bedford, 2.7 mi · 4 of 5 stars · 8 citations
Common questions
- What is Maple Leaf Health Care Center's Medicare star rating?
- CMS rates Maple Leaf Health Care Center 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Maple Leaf Health Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on March 4, 2026. The New Hampshire average is 4.
- Has Maple Leaf Health Care Center been fined?
- CMS lists no fines in the last three years.
- Does Maple Leaf Health Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Maple Leaf Health Care Center?
- CMS lists 8 owners and managers. Legal business name: BH MAPLE LEAF LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.